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Process Record On Paranoid Schizophrenia

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Soraisham Kiranbala Devi
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3K views

Process Record On Paranoid Schizophrenia

Uploaded by

Soraisham Kiranbala Devi
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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IDENTIFICATION DATA

 Name of Patient : Mr Shaji


 Age : 36 years,
 Gender : Male
 Religion : Hindu
 Education : Bsc, Chemistry
 Occupation : Bussinesmen
 Marital Status : Married
 Ward : Psychiatric ward
 IPD No :
 Address :
 Date of admission :
 Language of interview : Hindi & Kannada & English
 Data collection date and time :
 Diagnosis : Paranoid Schizophrenia

Brief summary of patient:


Patient is suffering from Paranoid Schizophrenia last 3 years with a complaint of delusion of auditory hallucination, insomnia, and
thought block and currently he is on medicaton . But now he is better with medicines.
Place of interaction:
Description Environment :
In the male ward so many patients are there. They have there own bed but not adequate space. But the patient adjust to it. But the
environment is calm and quite.
Reason for selecting the patient:
Patient has doubtfull and he also co-operative too & I am interested to study the suspicious behaviour of the patient.
Objective

 To make a good interpersonal relationship with the patient.


 To know more about the patient.
 To reduce the confusion and suspiciousness of the patient.
 To give the psycho education about the patient.

Nurse response Patient response Technique


verbal Non verbal verbal Non verbal
Listening
Hello good afternoon Smiling Hi Smiling

Focusing
What is your name. Smiling My name is Sabitha Roy. Smiling

Clarification
Had your lunch? Maintaining eye contact Yes I already had. No expression

What you had in Maintain eye contact I had rice and curry. Smiling Active listening
lunch?
Looking to the patient I am not feeling well. And With dull face
Why are you here? doctor told that I am Reflecting
suffering from paranoid
schizophrenia
Focusing
Smiling
How are you feeling Look at the patient Now i am fine
now Active listening

Dull facial
Did your family Maintain eye contact Yes they are came to meet expression Broad opening
member come to meet me everyday but I want to
you go home.

How many family Listening We have 5member in my Smiling active listening


member there in your family my two child and
family my wife and me.

reflection
Did you sleep well Looking at the patient Yes I slept well last night. Smile
yesterday

No expression focusing
When you got married Smiling I can’t remember exact
did you remember date.
date?

reflection
Ok for today I will go Smiling Ok sister Smiling
tomorrow I will come
again
INFERENCE
Through the process recording it was observed that patient maintained good verbal and non verbal communication.

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